EHR Alert Fatigue

EHR Alert Fatigue

How to Avoid EHR Alert Fatigue Answer the following questions honestly. Do you get EHR alerts while charting and: Not pay attention? Ignore even those marked “Important?” Delete more alerts than you read? Think: “I would rather talk to the IRS than see another...

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Wearing Two Hats?  Both Medical Examiner and PCP?

Wearing Two Hats? Both Medical Examiner and PCP?

Should you be both the DOT medical examiner and the PCP? Omar asks: I just finished listening to your webinar on the new DOT form. It was quite informative and useful. I still need to go back and brush up on the determination pending part. I have a question for you: in your webinar, you […]

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Here’s a recent question on “whitecoat syndrome” and hypertension management in commercial drivers If you haven’t taken my course on the New DOT Form check it out! It’s not just about filling out forms, we cover practical stuff you have to know about managing drivers under some new rules accompanying this new DOT form and […]

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New Driver Examination Forms

New Driver Examination Forms

  Original Deadline for new forms use was Dec 22, 2015 – Now extended to April 20, 2016 – see below for info on a new electronic DOT forms below! Click here for our course on How to Fill Out the New DOT Form & Certificate! Attention Certified Medical Examiners Until December 22, 2015, Certified Medical […]

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Facility Fees in Urgent Care

Facility Fees in Urgent Care

Thirty plus years ago urgent care centers emerged as an alternative to emergency room care and “regular” physician office visits (I was there).  The main “USPs” – Unique Selling Propositions that paved the way for the urgent boom we’ve experienced in recent years are: Easy access on a walk-in basis without an appointment Extended hours […]

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Urgent Care EMR Update

Urgent Care EMR Update

Once upon a time, the urgent care center’s claim to fame was access: extended hours, open on weekends and holidays, available when your family doctor wasn’t… Now? There’s a second urgent care center right down the street. And a third one after that. Access is simply not a “unique selling proposition” (or USP) anymore. Now […]

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Osteoporosis Lifting Restrictions

Osteoporosis Lifting Restrictions

Commercial driving is considered a heavy duty job.  In addition to driving, CMV driver duties include such rigorous activity as coupling and uncoupling trailers, loading and unloading trailers, inspecting the vehicle, lifting, installing tire chains, climbing ladders, getting in and out of the cab, etc. Musculoskeletal diseases may adversely impact the CMV driver’s muscle strength […]

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Medical Marijuana – OK for Commercial Drivers?

Medical Marijuana – OK for Commercial Drivers?

Much of the recent press about marijuana has been regarding recreational use now legal in several states.  The debate regarding medical marijuana use in commercial drivers has been settled: From the DOT Office of Drug and Alcohol Policy and Compliance Notice: The Department of Justice (DOJ) issued guidelines for Federal prosecutors in states that have […]

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When the Boss Wants to Play Doctor

When the Boss Wants to Play Doctor

  Should there be an Employer in the Exam Room? We wear two hats in the occupational medicine environment.  Evaluation and management of injured workers is at times a delicate balance of sometimes misaligned interests. Communication is key.  The worker needs to understand the treatment plan, prognosis of the injury​, and that early return to […]

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To Clot or Not – part 2

To Clot or Not – part 2

Transfer to ED One of my biggest pet peeves is transferring patients to the ER because of the inability to obtain confirmatory diagnostic testing for potentially serious conditions. We all know the ER cost of admission – 4-5 X what it costs to treat the same condition in the urgent care setting. In part 2 […]

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